Ghassan M. Darwish Assistant Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia, India
Address for correspondence: Ghassan M. Darwish, Assistant Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia, India E-mail: gdarwish@kau.edu.sa
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Darwish GM. The Influence of Local Anesthesia Pre-Clinical and Clinical Education Methods on Predoctoral Dental Students. Indian J Dent Educ. 2023;16(2):59-66.
Timeline
Received : March 01, 2023
Accepted : March 28, 2023
Published : April 30, 2023
Abstract
One of dentistry's most basic and essential processes is administering a local anesthetic. Before beginning any procedure on patients, many clinical specialties in dentistry require the administration of a local anesthetic. Students may find it challenging to master optimal local anesthetic techniques as they demand refined technical skills to enable painless administration. Therefore, before administering their first injection, students must complete their educational requirements regarding knowledge and practice. Non-human objects, cadavers, simulation models, and student-to-student administration are some methods utilized for learning local anesthesia in undergraduate dental education institutions worldwide. Therefore, this study was conducted to evaluate and compare the learning outcome of students who under took the contemporary preclinical teaching program (lectures and clinical), shadowing a higherlevel student to administer the local anesthesia to the patient, to those who provide a modern teaching and learning program (lectures and preclinical simulation for a semester then lecture and clinical practice student to student in the 2nd semester), before practicing on the patient the following year. This study is retrospective longitudinal data gathered from the local anesthesia assessment sheets for 3rd, 4th and 5th undergraduate dental students and compared their marks before and after implementing the local anesthesia modern teaching method from 2018 to 2021. This study aims to determine whether a modern approach teaching program in local anesthesia delivery affects undergraduate dental students' perceived and actual learning outcomes.
References
1. Kary AL, Gomez J, Raffaelli SD, Levine MH. Preclinical local anesthesia education in dental schools: a systematic review. J Dent Educ. 2018;82(10):1059-1064.
2. Rosenberg M, Orr DL, Starley ED, Jensen DR. Student to student local anesthesia injections in dental education: moral, ethical, and legal issues. J Dent Educ. 2009;73(1):127-132.
3. Levine RS. Experience, skill, and knowledge gained by newly qualified dentists during their first year of general practice. Br Dent J. 1992;172(3):97-102.
4. Wright EF. Medial pterygoid trismus (myospasm) following inferior alveolar nerve block: case report and literature review. Gen Dent. 2011;59(1):64-67.
5. Miloro M. Peterson’s Principles of Oral and Maxillofacial Surgery. In: Ghali GE, Larsen PE, Waite PD, editors. 2nd ed. London: BC Decker; 2004.
6. Malamed SF. Handbook of Local Anesthesia. 7th ed. St. Louis: Elsevier Health Sciences; 2019.
7. Hupp JR, Tucker MR, Ellis E. Contemporary Oral and Maxillofacial Surgery. 6th ed. St. Louis: Mosby; 2017.
8. Balasubramanian S, Paneerselvam E, Guruprasad T, Pathumai M, Abraham S, Raja VK. Efficacy of exclusive lingual nerve block versus conventional inferior alveolar nerve block in achieving lingual soft-tissue anesthesia. Ann Maxillofac Surg. 2017;7(2):250-255.
9. Matas R. The story of the discovery of dental anesthesia by nerve blocking; achievements of William Stewart Halsted. Surgery. 1952;32(3):530-537.
10. Kuscu OO, Kucuktepe C, Caglar E, Cildir SK, Hacinlioglu N, Sandallı N. Role of ‘Student to Student Local Analgesia Administration’ on undergraduate students’ opinions regarding ‘Pain Free Local Analgesia Technique’ in children. Eur J Dent Educ. 2013;17(3):185-189.
11. Mukhopadhyay S, Kruger E, Tennant M. YouTube: a new way of supplementing traditional methods in dental education. J Dent Educ. 2014;78(11):1568-1571.
12. Jenkins DB, Spackman GK. A method for teaching the classical inferior alveolar nerve block. Clin Anat. 1995;8(3):231-234.
13. Lee JS, Graham R, Bassiur JP, Lichtenthal RM. Evaluation of a local anesthesia simulation model with dental students as novice clinicians. J Dent Educ. 2015;79(12):1411-1417.
14. Marti K, Sandhu G, Aljadeff L, Greene R, Lesch AB, Le JM, et al. Simulation-Based Medical Emergencies Education for Dental Students: A Three-Year Evaluation. J Dent Educ. 2019;83(8):973-980.
15. Buchanan JA. Use of simulation technology in dental education. J Dent Educ. 2001;65(11):1225-1231.
16. Udani AD, Kim TE, Howard SK, Mariano ER. Simulation in teaching regional anesthesia: current perspectives. Local Reg Anesth. 2015;8:33-43.
17. Nuñez J, Sanz-Blasco S, Vignoletti F, Muñoz F, Arzate H, Villalobos C, et al. Periodontal regeneration following implantation of cementum and periodontal ligament-derived cells. J Periodontal Res. 2012;47(1):33-44.
18. Said Yekta S, Lampert F, Kazemi S, Kazemi R, Brand HS, Baart JA, et al. Evaluation of new injection and cavity preparation model in local anesthesia teaching. J Dent Educ. 2013;77(1):51-57.
19. Lee JS, Graham R, Bassiur JP, Lichtenthal RM. Evaluation of a local anesthesia simulation model with dental students as novice clinicians. J Dent Educ. 2015;79(12):1411-1417. [Duplicate of #13]
20. Aboytes DB, Calleros C. Learners’ perceptions of practices in local anesthesia education. Can J Dent Hyg. 2017;51(2):67-74.
21. Chandrasekaran B, Cugati N, Kumaresan R. Dental students’ perception and anxiety levels during their first local anesthetic injection. Malays J Med Sci. 2014;21(6):45-50.
22. Wong G, Apthorpe HC, Ruiz K, Nanayakkara S. Student to student dental local anesthetic preclinical training: impact on students’ confidence and anxiety in clinical practice. J Dent Educ. 2019;83(1):56-63.
23. Siddiqi KM, Qazi HS, Ali K, Glanville R. Assessment of dental undergraduate students’ skills in local anesthesia administration: A longitudinal study. Eur J Dent Educ. 2021;25(3):474-480.
24. Montserrat-Bosch M, Figueiredo R, Nogueira-Magalhães P, Arnabat-Dominguez J, Valmaseda-Castellón E, Gay-Escoda C. Efficacy and complications associated with a modified inferior alveolar nerve block technique: A randomized, triple-blind clinical trial. Med Oral Patol Oral Cir Bucal. 2014;19(4):e391-e397.
25. Bokhari SA, Rashed HT, Al-Farhan MF. Evaluation of Perceived Competency of Dental Graduates of Saudi Arabia. Educ Res Int. 2022;2022:3887106.
26. Marti K, Sandhu G, Aljadeff L, Greene R, Lesch AB, Le JM, et al. Simulation-Based Medical Emergencies Education for Dental Students: A Three-Year Evaluation. J Dent Educ. 2019;83(8):973-980. [Duplicate of #14]
27. Brand HS, Baart JA, Maas NE, Bachet I. Effect of a training model in local anesthesia teaching. J Dent Educ. 2010;74(8):876-879.
28. McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003–2009. Med Educ. 2010;44(1):50-63.
29. a periapical lesion: A diagnostic dilemma. J Conserv Dent. 2012;15(1):84-86.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
Whether all authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Darwish GM. The Influence of Local Anesthesia Pre-Clinical and Clinical Education Methods on Predoctoral Dental Students. Indian J Dent Educ. 2023;16(2):59-66.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
(a) Comparison of the scores under old “5th year” and new teaching methods “3rd and 4th years”. (b) Score shifting from 3rd to 5th year under old teaching methods. (c) Score shifting from 3rd to 4th year under new teaching methods.